School Incentives Order Form

Name*

First NameLast Name

School Name *

Phone Number*

Please enter a valid phone number.

What grade do you teach?*

At which Soifer Family McDonald's location will you pick up your incentives?*

You will receive a phone call at the number entered above once they arrive and are ready for pickup, typically within one week of request.

Reward Incentive Options- Please limit to five selections.

	10	20	30
1. Great Grades (Ice Cream Cone)
2. Congrats from McDonald's (Hamburger)
3. Academic Improvement (4pc Nuggets)
4. Student Achievement (Apples)
5. Student Achievement (Hamburger)
6. Kindergarten Kid (Apples)
7. Fire Prevention (Hamburger)
8. Honor Student (4pc Nuggets)
9. Math Award (Cone)
10. Perfect Attendance (Apples)
11. Read Lead Bookmark (Hamburger)
12. Caught Doing Good (Apples)
13. Job Well Done (Hamburger)
14. Reading Award (Milk or Juice)
15. Summer Reading (Cone)
16. Good Citizen (4pc Nuggets)
17. Super Shinning Star (Hamburger)